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cover of episode Family-free hospital care

Family-free hospital care

2025/6/30
logo of podcast Round Table China

Round Table China

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People
H
Heyang
S
Steve Hatherly
作为《Round Table China》的主持人,深入探讨中国社会、文化和技术话题。
Y
Yushan
Topics
Heyang: 我认为在中国,当亲人住院时,家庭成员常常需要承担额外的照护责任,这给许多家庭带来了很大的压力。尤其是在工作和医院之间奔波,甚至需要自费请护工,这使得许多家庭不堪重负。我亲身经历过照顾父母住院,深知其中的不易,例如需要取食物、帮助无法自理的亲人清洁身体等。这些事情虽然看似简单,但实际上需要付出很多时间和精力,而且需要细心和体贴,家人在这方面往往比外人做得更好。 Yushan: 我认为中国在2025年6月启动了一项为期两年的全国试点项目,旨在测试一种新的医院照护模式,即“无家属照护”,目的是将床边照护的责任从患者家庭转移到医院本身,从而减轻家庭成员的负担,特别是那些需要在工作和照顾住院亲属之间挣扎的年轻一代。在中国,家庭照护成为一种默认选择,这与文化、政策和医院人手不足等因素有关。中国有着根深蒂固的孝道价值观,子女应该照顾年迈的父母。大多数公立医院长期人手不足,没有非医疗照护的正式职位,整个系统仍在从第三方平台或直接从医院招聘。目前,这些项目在医院内引入了新的护理责任分工,由专业照护人员(PCAs)负责处理之前由患者家属承担的日常非医疗照护任务。 Steve Hatherly: 我认为在加拿大,提供食物和清洗等服务的责任由医务人员承担,不要求家属负责。中国的“无家属医院”试点项目,如果实施得好,将非常有用。但同时,我也担心如果医院雇佣的护理人员的工资低于私人护理员,那么谁会加入医院雇佣的护理人员队伍呢?除非医院能提供五险一金,以及稳定性。如果家庭能以更低的价格从医院获得同等或更好的护理质量,那么对私人护理的需求还会存在吗?

Deep Dive

Chapters
This chapter explores China's new pilot program, 'family-free hospital care,' which aims to shift daily patient care to trained hospital staff. It discusses the types of tasks currently handled by family members and the challenges of balancing work and hospital visits. The chapter also questions whether trained professionals can provide the same level of care as family members.
  • New pilot program, 'family-free hospital care,' launched in June 2025
  • Aims to shift daily patient care from family members to hospital staff
  • Addresses the challenges of balancing work and hospital visits
  • Questions the quality of care provided by trained professionals compared to family members

Shownotes Transcript

For generations of Chinese people, caring for a loved one in the hospital meant being by the patient's side, day and night. China's new pilot program, 'family-free hospital care', promises change for the better. How does this new system work? And perhaps the biggest question of all: where will the money come from? On the show: Heyang, Steve Hatherly & Yushan